HCPCS J7324

Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose (CMS descriptor)

Drugs Drug code Work RVU per service none (2020 fee schedule; adds 0 work RVUs)

1,753
89th percentile among 6,116 codes billed · 2020
$25M
94th percentile among 6,116 codes billed · 2020
243K
90th percentile among 6,116 codes billed · 2020
89
86th percentile among 6,116 codes billed · 2020
392
79th percentile among 6,116 codes billed · 2020

Trend

Medicare payment on the code

$0$10M$20M2020: $25M paid20202021: $26M paid20212022: $24M paid20222023: $20M paid20232024: $18M paid2024$18M$0$10M$20M2020: $25M paid20202021: $26M paid20212022: $24M paid20222023: $20M paid20232024: $18M paid2024$18M$0$10M$20M2020: $25M paid20202021: $26M paid20212022: $24M paid20222023: $20M paid20232024: $18M paid2024$18M$0$10M$20M2020: $25M paid20202021: $26M paid20212022: $24M paid20222023: $20M paid20232024: $18M paid2024$18M

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2024.

Billers

01,0002020: 1,753 providers20202021: 1,664 providers20212022: 1,596 providers20222023: 1,509 providers20232024: 1,442 providers20241,44201,0002020: 1,753 providers20202021: 1,664 providers20212022: 1,596 providers20222023: 1,509 providers20232024: 1,442 providers20241,44201,0002020: 1,753 providers20202021: 1,664 providers20212022: 1,596 providers20222023: 1,509 providers20232024: 1,442 providers20241,44201,0002020: 1,753 providers20202021: 1,664 providers20212022: 1,596 providers20222023: 1,509 providers20232024: 1,442 providers20241,442

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2024.

observed calculated calculated calculated calculated calculated reported
20241,442$18,169,935-9%187,669813790.00
20231,509$19,874,827-18% (2023 changed hospital and observation visit codes)201,791844280.00
20221,596$24,146,009-6%213,787843870.00
20211,664$25,649,720– (Not compared: 2021 changed office visit values)239,686924310.00
20201,753$25,384,687first year in data242,640893920.00

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2024.

By state

observed calculated calculated calculated calculated calculated
California193$3,475,59433,171100539
Florida217$3,113,01029,61992365
New Jersey173$2,973,83728,420111488
New York169$2,681,68225,41695467
Pennsylvania96$1,875,20817,914101600
Texas103$1,455,54913,98995379
Illinois80$1,369,23213,045101402
Arizona49$722,0776,90697376
Virginia67$674,2946,48063277
Tennessee49$630,6296,11794320
Maryland34$572,2905,49988453
Ohio50$514,1554,90569229
Connecticut48$475,3204,54384216
Colorado32$421,0284,04187318
Alabama30$414,9784,01479420

Not listed: 15 states with fewer than 11 billers (small cells).

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Providers placed by practice address. Data year 2020.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ246$4,134,42439,314101
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD128$2,319,23322,092101
Los Angeles-Long Beach-Anaheim, CA71$1,367,41012,993114
Chicago-Naperville-Elgin, IL-IN76$1,343,70212,80098
Fresno, CA18$826,8907,844151
Phoenix-Mesa-Chandler, AZ45$684,4686,547100
Atlantic City-Hammonton, NJ14$507,7184,853190
San Jose-Sunnyvale-Santa Clara, CA30$486,3704,715113
Baltimore-Columbia-Towson, MD21$463,4834,455123
Tampa-St. Petersburg-Clearwater, FL45$445,0674,22281
Miami-Fort Lauderdale-West Palm Beach, FL35$438,4554,15383
Houston-Pasadena-The Woodlands, TX34$437,3984,19895
Washington-Arlington-Alexandria, DC-VA-MD-WV44$425,1804,08066
Boston-Cambridge-Newton, MA-NH21$313,2832,984138
Cincinnati, OH-KY-IN32$307,4002,91970

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 38 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2020.

Specialties billing J7324 nationally

Orthopedic Surgery accounts for 52% of payment for J7324 nationally in 2020, across 12 specialties on claims.

observed calculated calculated calculated calculated calculated
Orthopedic Surgery89951%$13,126,91352%125,407139
Physician Assistant38222%$4,722,84819%45,269119
Sports Medicine1166.6%$2,514,7239.9%24,062207
Family Practice613.5%$930,3553.7%8,879146
Nurse Practitioner774.4%$907,9853.6%8,722113
Rheumatology512.9%$757,7633.0%7,220142
Physical Medicine and Rehabilitation523.0%$730,9552.9%6,968134
Internal Medicine181.0%$463,9191.8%4,406245
Interventional Pain Management311.8%$337,0181.3%3,211104
Emergency Medicine120.68%$299,0341.2%2,850238
Pain Management130.74%$166,3320.66%1,583122
Anesthesiology120.68%$81,6640.32%77665

Not listed: 9 specialties with fewer than 11 billers (small cells).

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Provider-level lines (fewer than 11 beneficiaries suppressed by CMS); specialty is the provider type on claims. Data year 2020.

Top billers of J7324 nationally

Named top billers are a Pro figure, and Pro is not available to buy, so this list is not shown to any account. The counts and totals by state, metro area and specialty on this page are free.

Original Medicare Part B fee-for-service only; CMS suppresses provider lines with fewer than 11 beneficiaries. How these figures are computed · Limitations